The Final Chapter

As expected, France’s counterpart to the U.S. National Transportation Safety Board, the Bureau d’Enquêtes et d’Analyses pour la sécurité de l’aviation civile (BEA), on July 5 released its long-awaited final report into the loss of Air France Flight 447, an Airbus A330 that disappeared over the equitorial Atlantic Ocean on June 1, 2009. Also as expected, the BEA found a complicated series of events led to the crash, almost all of them associated with crew training and expectations.

Key Takeaways:

• France's BEA concluded that the Air France Flight 447 crash was caused by a complex series of events primarily linked to crew training and expectations.
• The crew failed to recognize a pitot system failure, made inappropriate control inputs that stalled the aircraft at high altitude, and subsequently failed to diagnose or recover from the stall.
• The report recommends significant improvements in initial and recurrent airline crew training, enhancements to flight instrument annunciation, and a review of stall warning system functionality at very low airspeeds.

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